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Donor Government Funding for HIV in Low- and Middle-Income Countries in 2025

This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2025, the latest year available, as well as trends over time. It includes both bilateral funding from donors and their multilateral contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), UNITAID, and Joint United Nations Programme on HIV/AIDS (UNAIDS).

selected resources

Global Health Aid Cuts

This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

A promotional image for the the KFF Health Policy 101 U.S. Government and Global Health

The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

the essentials

Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • As Congress Considers Reauthorizing PEPFAR, A New Policy Watch Asks and Answers Fundamental Questions

    News Release

    As Congress considers reauthorizing the President’s Emergency Plan for AIDS Relief (PEPFAR) for a fourth time, a new KFF Policy Watch details key facts about the program and top issues related to its authorization and funding. Created in 2003 as the U.S. government’s signature global health effort in the fight against HIV, PEPFAR is broadly regarded as one of the most successful programs in global health history, with the U.S. government reporting tens of millions…

  • The Helms Amendment and Abortion Laws in Countries Receiving U.S. Global Health Assistance

    Issue Brief

    This brief examines abortion laws in countries that received certain U.S. foreign assistance to better understand the implications of the Helms Amendment (which prohibits the use of foreign assistance to pay for the performance of abortion as a method of family planning or to motivate or coerce any person to practice abortion) for abortion access globally.

  • Economic Impact of COVID-19 on PEPFAR Countries

    Issue Brief

    The COVID-19 has exacted a significant toll on the global economy. This new analysis looks at the economic impacts in PEPFAR countries finding that these countries generally fared worse than their economic and regional peers. In addition, the projected economic growth in these countries remains below pre-pandemic levels.

  • Global Health Funding in the FY 2023 Omnibus

    Fact Sheet

    Updated on January 3, 2023 The FY 2023 Omnibus appropriations bill and accompanying reports, released by Congress on December 20, 2022, and signed by the President on December 29, 2022, includes funding for U.S. global health programs at the State Department, U.S. Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC), and National Institutes of Health (NIH).[i] Funding provided to the State Department and USAID through the Global Health Programs (GHP) account,…

  • Donor Governments Spent US$7.5 Billion on Efforts to Combat HIV/AIDS Globally in 2021, Largely Flat Amid the COVID-19 Pandemic, KFF-UNAID Report Finds

    News Release

    A new report from KFF (Kaiser Family Foundation) and The Joint United Nations Programme on HIV/AIDS (UNAIDS) finds that donor governments disbursed US$7.5 billion in 2021 to combat HIV in low- and middle-income countries, largely flat amid the COVID-19 pandemic and essentially matching 2008 levels, against a backdrop of growing inflation and shrinking funding from other sources. While the total is less than in 2020, that largely occurred due to the timing of payments from…

  • One Year Later, Where Does the U.S. Response to Ebola Stand?

    Event Date:
    Event

    The Ebola outbreak of 2014 was a global wake-up call regarding the ongoing threat of emerging infectious diseases.  The U.S. government’s response included dispatching the military and Congress appropriating $5.4 billion in emergency funding, the majority of which was for international activities. Still, Ebola cases continue to occur in the region, with seven cases in Guinea in the last several weeks alone as well as new cases in Liberia. So where does the U.S. effort…

  • New Analysis Examines the $1.9 Billion Committed By the U.S. Government for the International Ebola Response To Date

    News Release

    A new Kaiser Family Foundation analysis finds government agencies so far report spending approximately $1.9 billion in funding to respond to the Ebola outbreak internationally. The majority of this spending was by USAID (49%), followed by the Department of Defense (33%), and the Centers for Disease Control and Prevention (18%). The U.S. government enacted $5.4 billion in emergency Ebola funding in December 2014, representing the largest effort by a single donor government to respond to…

  • The U.S. Response to Ebola: Status of the FY2015 Emergency Ebola Appropriation

    Issue Brief

    This issue brief reviews where the U.S. response to Ebola stands, asking: What specifically was funding provided for and what is its current status? How is U.S. funding being used to address the outbreak and its aftermath, and prepare for future health threats? How available and transparent is information about these activities?

  • The Future of U.S. Global Health Policy & Programs

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    As the U.S. enters a Presidential election year and the larger global health and development landscape changes, U.S. global health programs face a key moment of transition. The prior decade saw unprecedented attention to and funding for global health by the U.S. government. Although funding has flattened in recent years, global health has generally enjoyed significant bipartisan support in Congress and the Administration, at a level not seen in most other non-entitlement or discretionary spending…